[Prognosis in status epilepticus].
Status epilepticus (SE), an special epileptic syndrome, is a frequent neurological emergency (50/100,000) and a critical condition (mean mortality 22%, in 3% of pediatric patients and 38% in the elderly). Accepting its widest concept, it appears without history of epilepsy in 58%. Neuronal damage, mainly hypocampal, has been experimentally demonstrated in convulsive and nonconvulsive SE. We attempt to demonstrate that the most important prognostic factors are: age, more related to morbidity in children and in mortality in the elderly; etiology, determining the evolution in most cases, but not always: in the same etiological group, the coincidence of SE can increase threefold the mortality; the seizure type, especially the convulsive SE; patients with previous epilepsy have a better outcome; the epileptic syndrome, rather determinant of incidence and outcome of the SE in the childhood; the length of SE, but in the cases of outcome directly depending on the etiology; the evolutive phase in which treatment is started; the complications, mainly respiratory; the global therapeutical strategy and the adequate use of drugs, related to order, dosage and timing, are determinant of morbidity and mortality.
Oliveros Juste
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Servicio de Neurología, Hospital Miguel Servet, Zaragoza.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002675:Child, Preschool; D006801:Humans; D008875:Middle Aged; D011379:Prognosis; D013226:Status Epilepticus / Q000175:diagnosis*; D013997:Time Factors
Pronóstico de los estados epilépticos.